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ORIGINAL S >lle Orlglgat Duplicate and Triplicate with the SHEET 2 DIVISION-01 WATER RESOUR(ES P a BOX 1079 SACRAMENTO 5 CALIFORNIA WATER WELL DRILLERS REPORT Do Not Fill In l State Well No rs5 (Sections 7076,7077,7078,Water Code) Other Well No r Region_ (7) Perforations Type of perforator used - - - -- -- ---- - -- ------- -- --- - --- - -- - - - Perforated ___ 'rlt. ft __- to__ 8t- ft Hole size _ 1/4Z c2' No of holes _ 6 per no 530 ., 535-- » „ n ,r f, r, n » ro sr n n „ ra n (B) Water levels: (9) Well pumping test Depth at which water Date of test-7-/23/-5L-By whom ftrttgertl-HClL DA3-1J-> --00+ first encountered_____ - ___ _ ft Depth to water when test started______ _____ ft Depth to water G P M at beginning of test_ __ 59 before perforating_____ 12_ _ _ _ ft Drawdown from standing level____ _ ________________ __ __ _____ft Depth to water G P M at completion of test_____2 ____________ ___ _ ----- after perforating_______ ______ _ ___1r2 ___ ____ft Drawdown at completion of test_ ____ _ Q_____ ___ __ _ I------_ _ ft Note any change in water level while drilling Length of time tested _______ �-�-- - Temperature of water------------------- r . Was gas present in water) ❑ Yes ® No = , (10) General Was well gravel packed?__ ___ ___ _Ap__ _ Size of rock Thickness afpacic Was a surface sanitary seal provtded> _fig._ _ _____ _ _ ___ _ _ _ __ _ __ _____-__� -- , �=------- - Were any strata sealed against pollution) ❑ Yes Fx] No If yes, attach detailed description - Strata sealed--- -------------- --- -------- Was ------Was analysis made of water) ❑ Yes ® No If yes, attach copy Was electne log made of welly ❑ Yes (]I No If yes, attach copy If well abandoned, was it plugged and scaled) Method of plugging and sealing---- _-- ------------ - - - - ---------- - ---- - ---- - (II) Location ((I 2) Time of work: Nortb Section No 21_2 � _ _ jf� r�Work started date6/11f-Sl— Completed d2te7A7/51 Township_ ________e Date of this report -----__July_283, 1951 Range- Base ange Base&Mend7an.]Ilj_D- WELL DRILLER'S STATEMENT I 0- Shaw location of well in Sec- This well was drilled under my jurisdiction and this E i tion,thus (x) report is true to the best of my knowledge and belief Distances to section lines from well, IllZr S � ft 2f505 [SIGNED]7ated- 1�� DRILLIRG_(M.s. LTD. ander ft 2zo0 u'err n.dr,Show location of nearest known well, thus (0) R«.SQEj$3 L' 57 Classificationi MILE Distance to nearest known well_ ___ ft °TAY 2g _ , 19 5�' D W R FORm NO 246 REGIONAL WATER POLLUTION CONTROL BOARD COPY 21972 3 b0 40M CVIN SPO